Antonietta Pannullo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046978 Issued in NY

Practice address

132 Tulip Ave
Floral Park, NY 11001-2704

Phone

(516) 775-2666

NPI assigned

Dec 3, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  Medicare reassignment NPD
• State of New York Comptrollers Office

  • Physical Therapist
  • Albany, NY
  • NPI 1982174520
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259798400000",
    "number": "1659609543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 TULIP AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012704",
            "telephone_number": "516-775-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 TULIP AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012704",
            "telephone_number": "516-775-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANNULLO",
        "first_name": "ANTONIETTA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Butler Palma, S.L.P.
• Amit B Pandya, DDS
• Divya Pandya, MD
• Himanshu Pandya, MD
• Ancy Maria Paniker, PHARMD
• Saisahana Paramesh, PHARM.D
• Maria Parrino, M.S., CCC-SLP, TSSLD
• Dhiren Patel, PT
• Jitendra R Patel, R.PH
• Kavina Patel, RPH

• General Practice Dentistry in Floral Park, NY
• Providers in Floral Park, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.